For your convenience you may download and complete the forms below to bring in, email or fax to my office.
Phone & Online Consultation
The information in the above forms is very important in helping me identify the root causes of your imbalances. I will then form a *TCM diagnosis and create a specialized diet and lifestyle program for you. This may entail phone consultations or office visits.
|Phone Consultation (per 15 minutes)||$25.00|
|In-Depth 1 hour Phone Consultation||$75.00|
|Health Questionnaire Form Evaluation||$25.00|
|Symptom Survey Form Evaluation||$25.00|
Payments Accepted through PayPal
"*" indicates required fields